Provider Demographics
NPI:1922832880
Name:UNITY DENTAL TORRINGTON LLC
Entity type:Organization
Organization Name:UNITY DENTAL TORRINGTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAKESWAR
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:VONGURU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-816-1759
Mailing Address - Street 1:49 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6430
Mailing Address - Country:US
Mailing Address - Phone:860-618-7444
Mailing Address - Fax:
Practice Address - Street 1:49 S MAIN ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6430
Practice Address - Country:US
Practice Address - Phone:860-618-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental